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Related papers: MEDVISTAGYM: A Scalable Training Environment for T…

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While recent vision-language models (VLMs) demonstrate strong image understanding, their ability to "think with images", i.e., to reason through multi-step visual interactions, remains limited. We introduce VISTA-Gym, a scalable training…

Reasoning is a critical frontier for advancing medical image analysis, where transparency and trustworthiness play a central role in both clinician trust and regulatory approval. Although Medical Visual Language Models (VLMs) show promise…

Computer Vision and Pattern Recognition · Computer Science 2025-03-20 Jiazhen Pan , Che Liu , Junde Wu , Fenglin Liu , Jiayuan Zhu , Hongwei Bran Li , Chen Chen , Cheng Ouyang , Daniel Rueckert

Medical Vision-Language Models (VLMs) hold immense promise for complex clinical tasks, but their reasoning capabilities are often constrained by text-only paradigms that fail to ground inferences in visual evidence. This limitation not only…

Computer Vision and Pattern Recognition · Computer Science 2026-04-10 Zheng Jiang , Heng Guo , Chengyu Fang , Changchen Xiao , Xinyang Hu , Lifeng Sun , Minfeng Xu

Modern Vision-Language Models (VLMs) remain poorly characterized in multi-step visual interactions, particularly in how they integrate perception, memory, and action over long horizons. We introduce VisGym, a gymnasium of 17 environments…

Computer Vision and Pattern Recognition · Computer Science 2026-01-26 Zirui Wang , Junyi Zhang , Jiaxin Ge , Long Lian , Letian Fu , Lisa Dunlap , Ken Goldberg , XuDong Wang , Ion Stoica , David M. Chan , Sewon Min , Joseph E. Gonzalez

Visual Language Models (VLMs) achieve promising results in medical reasoning but struggle with hallucinations, vague descriptions, inconsistent logic and poor localization. To address this, we propose a agent framework named Medical Visual…

Artificial Intelligence · Computer Science 2025-10-22 Guangfu Guo , Xiaoqian Lu , Yue Feng

General-purpose large Vision-Language Models (VLMs) demonstrate strong capabilities in generating detailed descriptions for natural images. However, their performance in the medical domain remains suboptimal, even for relatively…

Computer Vision and Pattern Recognition · Computer Science 2025-10-23 Yifan Li , Fenghe Tang , Yingtai Li , Shaohua Kevin Zhou

In the field of multimodal chain-of-thought (CoT) reasoning, existing approaches predominantly rely on reasoning on pure language space, which inherently suffers from language bias and is largely confined to math or science domains. This…

Computer Vision and Pattern Recognition · Computer Science 2026-05-04 Jiacong Wang , Zijian Kang , Haochen Wang , Haiyong Jiang , Jiawen Li , Bohong Wu , Ya Wang , Jiao Ran , Xiao Liang , Chao Feng , Jun Xiao

Vision-language models (VLMs) excel at multimodal understanding, yet their text-only decoding forces them to verbalize visual reasoning, limiting performance on tasks that demand visual imagination. Recent attempts train VLMs to render…

Computer Vision and Pattern Recognition · Computer Science 2025-06-23 Zeyuan Yang , Xueyang Yu , Delin Chen , Maohao Shen , Chuang Gan

The diagnosis of pathological images is often limited by expert availability and regional disparities, highlighting the importance of automated diagnosis using Vision-Language Models (VLMs). Traditional multimodal models typically emphasize…

Computer Vision and Pattern Recognition · Computer Science 2025-04-21 Jianyu Wu , Hao Yang , Xinhua Zeng , Guibing He , Zhiyu Chen , Zihui Li , Xiaochuan Zhang , Yangyang Ma , Run Fang , Yang Liu

As textual reasoning with large language models (LLMs) has advanced significantly, there has been growing interest in enhancing the multimodal reasoning capabilities of large vision-language models (LVLMs). However, existing methods…

Computer Vision and Pattern Recognition · Computer Science 2025-06-23 Junfei Wu , Jian Guan , Kaituo Feng , Qiang Liu , Shu Wu , Liang Wang , Wei Wu , Tieniu Tan

Current large vision-language models (LVLMs) typically rely on text-only reasoning based on a single-pass visual encoding, which often leads to loss of fine-grained visual information. Recently the proposal of ''thinking with images''…

Computer Vision and Pattern Recognition · Computer Science 2026-02-13 Junfei Wu , Jian Guan , Qiang Liu , Shu Wu , Liang Wang , Wei Wu , Tieniu Tan

Recent advancements in Vision Language Models (VLMs) have demonstrated remarkable promise in generating visually grounded responses. However, their application in the medical domain is hindered by unique challenges. For instance, most VLMs…

Computer Vision and Pattern Recognition · Computer Science 2025-02-19 Lingxiao Luo , Bingda Tang , Xuanzhong Chen , Rong Han , Ting Chen

Recent progress in medical vision-language models (VLMs) has achieved strong performance on image-level text-centric tasks such as report generation and visual question answering (VQA). However, achieving fine-grained visual grounding and…

Computer Vision and Pattern Recognition · Computer Science 2026-01-16 Yang Xing , Jiong Wu , Savas Ozdemir , Ying Zhang , Yang Yang , Wei Shao , Kuang Gong

Vision-language models (VLMs) have achieved impressive progress in natural image reasoning, yet their potential in medical imaging remains underexplored. Medical vision-language tasks demand precise understanding and clinically coherent…

Computer Vision and Pattern Recognition · Computer Science 2025-10-28 Yuxiang Lai , Jike Zhong , Ming Li , Shitian Zhao , Yuheng Li , Konstantinos Psounis , Xiaofeng Yang

Reinforcement Learning Finetuning (RFT) has significantly advanced the reasoning capabilities of large language models (LLMs) by enabling long chains of thought, self-correction, and effective tool use. While recent works attempt to extend…

Machine Learning · Computer Science 2026-03-06 Mingyuan Wu , Jingcheng Yang , Jize Jiang , Meitang Li , Kaizhuo Yan , Hanchao Yu , Minjia Zhang , Chengxiang Zhai , Klara Nahrstedt

Bridging clinical diagnostic reasoning with AI remains a central challenge in medical imaging. We introduce MedCLM, an automated pipeline that converts detection datasets into large-scale medical visual question answering (VQA) data with…

Computer Vision and Pattern Recognition · Computer Science 2025-10-07 Soo Yong Kim , Suin Cho , Vincent-Daniel Yun , Gyeongyeon Hwang

Multimodal large language models (MLLMs) that think with images can interactively use tools to reason about visual inputs, but current approaches often rely on a narrow set of tools with limited real-world necessity and scalability. In this…

Computer Vision and Pattern Recognition · Computer Science 2025-12-04 Zirun Guo , Minjie Hong , Feng Zhang , Kai Jia , Tao Jin

Large Language Models (LLMs) have achieved remarkable reliability and advanced capabilities through extended test-time reasoning. However, extending these capabilities to Multi-modal Large Language Models (MLLMs) remains a significant…

Computer Vision and Pattern Recognition · Computer Science 2026-03-20 Yuhao Dong , Zuyan Liu , Shulin Tian , Yongming Rao , Ziwei Liu

Medical vision-language models (VLMs) excel at image-text understanding but typically rely on a single-pass reasoning that neglects localized visual cues. In clinical practice, however, human experts iteratively scan, focus, and refine the…

Computer Vision and Pattern Recognition · Computer Science 2025-10-14 Kaitao Chen , Shaohao Rui , Yankai Jiang , Jiamin Wu , Qihao Zheng , Chunfeng Song , Xiaosong Wang , Mu Zhou , Mianxin Liu

Medical large vision-language models (LVLMs) have demonstrated promising performance across various single-image question answering (QA) benchmarks, yet their capability in processing multi-image clinical scenarios remains underexplored.…

Computer Vision and Pattern Recognition · Computer Science 2025-05-27 Xikai Yang , Juzheng Miao , Yuchen Yuan , Jiaze Wang , Qi Dou , Jinpeng Li , Pheng-Ann Heng
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